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Munakata K, Miyashita H, Yamada Y, Soma T, Iwasaki R, Nakagawa T, Asoda S. Factors affecting the quality of life of patients with medication-related osteonecrosis of the jaw during treatment: A quality-of-life survey and causal analysis. J Craniomaxillofac Surg 2024; 52:715-721. [PMID: 38582669 DOI: 10.1016/j.jcms.2024.03.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 03/12/2024] [Indexed: 04/08/2024] Open
Abstract
This prospective cohort study aimed to investigate the impact of medication-related osteonecrosis of the jaw (MRONJ) on health-related quality of life (HRQOL) and oral health-related QOL (OHRQOL) and the association between the downstaging of MRONJ and OHRQOL. The HRQOL and OHRQOL of 44 patients with MRONJ were assessed using the SF-36v2 and the General Oral Health Assessment Index (GOHAI), respectively. Treatment was performed in accordance with the AAOMS position paper (2014). The SF-36v2 and GOHAI scores at the beginning of the survey were used to evaluate the impact of MRONJ on QOL. Potential confounders affecting the association between downstaging and QOL improvement were selected using directed acyclic graphs. Multiple regression analysis was performed to evaluate causal inferences. HRQOL scale scores declined below the national average. The three-component summary score (3CS), comprising the physical component summary (PCS), mental component summary (MCS), and role/social component summary (RCS), revealed that performance status and primary disease significantly affected the PCS and RCS (P = 0.005 and P < 0.001, respectively) and PCS and MCS (P = 0.024 and P = 0.003, respectively). The MRONJ stage did not influence the 3CS; however, OHRQOL declined in a stage-dependent manner (P = 0.005). Downstaging of MRONJ was independently associated with the improvement rate of the total GOHAI scores after adjusting for variables (P = 0.045). The HRQOL of patients with MRONJ declined; however, this may depend on the underlying disease status rather than the MRONJ stage. Improvement of the disease status can potentially predict an improvement in OHRQOL, regardless of the treatment modality.
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Affiliation(s)
- Kanako Munakata
- Department of Dentistry and Oral Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
| | - Hidetaka Miyashita
- Department of Dentistry and Oral Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
| | - Yuka Yamada
- Department of Dentistry and Oral Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
| | - Tomoya Soma
- Department of Dentistry and Oral Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
| | - Ryotaro Iwasaki
- Department of Dentistry and Oral Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
| | - Taneaki Nakagawa
- Department of Dentistry and Oral Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
| | - Seiji Asoda
- Department of Dentistry and Oral Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
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Mariño R, Glenister K, Bourke L, Morgan M, Atala-Acevedo C, Simmons D. Patterns of use of oral health care services in Australian rural adults: the Crossroads-II Dental sub-study. Aust Dent J 2021; 66:397-405. [PMID: 34152019 DOI: 10.1111/adj.12865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/09/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND As part of a larger study, the Crossroads-II Dental sub-study determined the patterns of, and barriers to, oral health care service utilization in a rural area of Victoria. METHODS In this cross-sectional sub-study predisposing, enabling, needs-related, and oral health variables were considered in association with patterns of oral health care utilization. A logistic regression was performed to explain the use of oral health care services. RESULTS Overall, 574 adults participated, with 50.9% reporting having visited an oral health care service in the previous 12 months. Age, number of chronic health conditions and holding a health card; were associated with increased visit to a dentist (OR = 1.01; 95% CI: 1.00-1.03; OR = 1.08; 95% CI: 1.01-1.16; OR = 2.06; 95% CI: 1.26-3.36, respectively). Perceived barriers to care and number of missing teeth decreased the odds of using services (OR = 0.46; 95% CI: 0.36-0.58; OR = 0.95; 95% CI: 0.92-0.98, respectively). CONCLUSIONS Results suggest that use of oral health care services is associated with a range of financial, educational, health and structural barriers. Increasing the use of oral health care services in rural populations requires additional efforts beyond the reduction of financial barriers.
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Affiliation(s)
- R Mariño
- Melbourne Dental School, The University of Melbourne, Melbourne, Australia
| | - K Glenister
- Department of Rural Health, The University of Melbourne, Melbourne, Australia
| | - L Bourke
- Department of Rural Health, The University of Melbourne, Melbourne, Australia
| | - M Morgan
- Melbourne Dental School, The University of Melbourne, Melbourne, Australia
| | - C Atala-Acevedo
- Melbourne Dental School, The University of Melbourne, Melbourne, Australia.,Centre for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile
| | - D Simmons
- Department of Rural Health, The University of Melbourne, Melbourne, Australia.,Macarthur Clinical School, Western Sydney University, Sydney, Australia
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Baniasadi K, Armoon B, Higgs P, Bayat AH, Mohammadi Gharehghani MA, Hemmat M, Fakhri Y, Mohammadi R, Fattah Moghaddam L, Schroth RJ. The Association of Oral Health Status and socio-economic determinants with Oral Health-Related Quality of Life among the elderly: A systematic review and meta-analysis. Int J Dent Hyg 2021; 19:153-165. [PMID: 33523593 DOI: 10.1111/idh.12489] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Revised: 12/15/2020] [Accepted: 01/24/2021] [Indexed: 01/03/2023]
Abstract
OBJECTIVE The aim of this study was to determine the relationship between poor Oral Health-Related Quality of Life (OHRQoL) and oral health determinants (eg being 75 years of age or greater, marital status, smoking status, denture wearing, depression, low educational level (≤8th grade), poor general health, caries history, tooth-induced pain, decayed, missing filled teeth (DMFT) scores and periodontal diseases) among the elderly. METHODS Formal search strategies in PubMed, Scopus, Cochrane and Web of Science were performed to identify studies in English published before 1 December 2019. We assessed the impacts of the oral health determinants including being 75 years of age or greater, marital status, smoking status, denture wearing, depression, low educational level (≤8th grade), poor general health, caries history, tooth-induced pain, DMFT scores and periodontal diseases) on OHRQoL among elderly individuals. The data were analysed using Stata 12.0 software. RESULTS In total, 19 publications met the inclusion criteria of this meta-analysis. Findings indicate a positive association between low educational level (ie ≤8th grade), marital status, depression, smoking status, denture wearing, poor general health, tooth-induced pain, periodontal diseases and poor OHRQoL among the elderly. We also observed a negative association between DMFT, being older than 75 years of age on poor OHRQoL among the elderly. CONCLUSIONS This review identified that several oral health determinants were associated with poor OHRQoL. The efficacy of preventive measures and the economic aspects of tooth replacement approaches should be explored in the future. Developing oral healthcare plans and policies with the specific aim of improving OHRQoL among this group is essential.
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Affiliation(s)
- Kamal Baniasadi
- Department of Cognitive Psychology, Institute for Cognitive Science Studies, Pardis, Iran
| | - Bahram Armoon
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Peter Higgs
- Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Amir-Hossein Bayat
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | | | - Morteza Hemmat
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Yadolah Fakhri
- Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Rasool Mohammadi
- Department of Epidemiology and Biostatistics, School of Public Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Ladan Fattah Moghaddam
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Robert J Schroth
- Dr. Gerald Niznick College of Dentistry, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
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Aravena JM, Saguez R, Lera L, Moya MO, Albala C. Factors related to depressive symptoms and self-reported diagnosis of depression in community-dwelling older Chileans: A national cross-sectional analysis. Int J Geriatr Psychiatry 2020; 35:749-758. [PMID: 32150304 DOI: 10.1002/gps.5293] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Revised: 12/07/2019] [Accepted: 02/25/2020] [Indexed: 11/10/2022]
Abstract
AIM The aims of this study were to describe the prevalence of screening-positive depression and to identify the frequency and factors related to self-reported depression diagnosis in people with screen-positive depression. METHODS Using the Geriatric Depression Scale (GDS-15), 4065 older Chileans were screened for depression. Social and health variables were included. Self-reported depression diagnosis and antidepressant use were analyzed according to screen-positive depression (GDS-15 ≥ 5). Chi-square and logistic regression analyses were conducted to identify factors related to screen-positive depression, and self-reported diagnosis and current antidepressant use. RESULTS Overall, mean age was 71.0 years, 60.9% women, and 71.4% had ≤8 years of education. 28.3% of the population screened positive for depression (mild: 21.7%; moderate-severe: 6.5%). Only 35.9% of screen-positive depression individuals self-reported a depression diagnosis (mild: 32.6%; moderate-severe: 47.0%), with significant differences between the sexes (women: 42.2%; men: 22.5%; P < .01). No education (OR = 2.00, 95% CI = 1.20-3.32), multimorbidity (OR = 1.88, 95% CI = 1.42-2.48), dependence (OR = 4.14, 95% CI = 3.11-5.51) and pain (OR = 2.49, 95% CI = 2.01-3.07) were related to screen-positive depression. In people screen-positive depression, men (OR = 0.48, 95% CI = 0.35-0.65) and 80 years or older were less likely to self-report depression diagnosis (OR = 0.35, 95% CI = 0.23-0.54), and current antidepressant use (OR = 0.31, 95% CI = 0.14-0.70). CONCLUSIONS A high prevalence of depressive symptoms and low agreement with self-reported depression is observed. There is a need to increase the diagnosis of depression especially in men and people 80 years or older.
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Affiliation(s)
- José M Aravena
- Public Nutrition Unit, The Nutrition and Food Technology Institute (INTA), University of Chile, Santiago, Chile.,Department of Social & Behavioral Sciences, School of Public Health, Yale University, New Haven, Connecticut, USA
| | - Rodrigo Saguez
- Public Nutrition Unit, The Nutrition and Food Technology Institute (INTA), University of Chile, Santiago, Chile
| | - Lydia Lera
- Public Nutrition Unit, The Nutrition and Food Technology Institute (INTA), University of Chile, Santiago, Chile
| | - Mario O Moya
- Public Nutrition Unit, The Nutrition and Food Technology Institute (INTA), University of Chile, Santiago, Chile
| | - Cecilia Albala
- Public Nutrition Unit, The Nutrition and Food Technology Institute (INTA), University of Chile, Santiago, Chile
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Mariño R, Enticott J, Browning C, Elsamman M, Etzion R, Ferooz M, Fujihara R, Hancock H, He J, Kendig H. Self-assessed impact of oral health on the psychological well-being and depressive symptoms of older adults living in Melbourne. J Public Health Dent 2020; 80:177-185. [PMID: 32281128 DOI: 10.1111/jphd.12363] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2019] [Revised: 12/13/2019] [Accepted: 02/07/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVES This study aimed to investigate oral health-related factors affecting the self-assessed psychological well-being (PW) and depressive symptoms of independent-living Australians aged 79 years and over living in the community in metropolitan Melbourne. METHODS The Melbourne Longitudinal Studies on Healthy Aging (MELSHA) program was used as the data source in this study and includes data on the health and well-being of older participants. The MELSHA baseline data collection occurred in 1994, the current study used data from the 2008 data collection and included 201 participants, who remained in the study. Data were analyzed using multiple linear regression (MLR) analysis with a stepwise procedure to identify the variables that accounted for a significant proportion of the variance in the participants' PW scores. RESULTS Present findings indicate that oral health may play a significant mediating role in PW through maintaining a presentable and acceptable physical appearance. Some 16.4 percent of participants reported feeling concerned about their dental appearance, either "Sometimes," "Often," or "Very often." Multivariate analysis showed significantly influences on PW positive and negative affect scores (P < 0.0001); and depressive symptoms (P < 0.0001) by participants' dentition status, enjoyment of meals, self-reported feeling of concern about the appearance of the mouth, social activity and self-assessment of general health. Final models explained 17.8, 20.1, and 24.6 percent of the variance of PW positive, negative affect scores, and depressive symptoms, respectively. CONCLUSIONS Oral health, specifically the appearance of the mouth and dentition, plays a significant role in the PW of older Melbournians. Future cross-sectional and longitudinal studies are indicated to raise awareness on the changes required to improve the quality of life of the older population.
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Affiliation(s)
- Rodrigo Mariño
- Melbourne Dental School, University of Melbourne, Melbourne, VIC, Australia
| | - Joanne Enticott
- Monash Centre for Health Research and Implementation, Monash University, Melbourne, VIC, Australia
| | - Colette Browning
- School of Nursing and Healthcare Professions, Federation University, Mt Helen Campus, Ballarat, Victoria, Australia
| | - Mahmoud Elsamman
- Melbourne Dental School, University of Melbourne, Melbourne, Australia
| | - Rachel Etzion
- Melbourne Dental School, University of Melbourne, Melbourne, Australia
| | - Maryam Ferooz
- Melbourne Dental School, University of Melbourne, Melbourne, Australia
| | - Ryuun Fujihara
- Melbourne Dental School, University of Melbourne, Melbourne, Australia
| | - Hugo Hancock
- Melbourne Dental School, University of Melbourne, Melbourne, Australia
| | - Julian He
- College of Health and Medicine, Australian National University, Canberra, Australia
| | - Hal Kendig
- College of Health and Medicine, Australian National University, Canberra, Australia
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Albala C. EL ENVEJECIMIENTO DE LA POBLACIÓN CHILENA Y LOS DESAFÍOS PARA LA SALUD Y EL BIENESTAR DE LAS PERSONAS MAYORES. REVISTA MÉDICA CLÍNICA LAS CONDES 2020. [DOI: 10.1016/j.rmclc.2019.12.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
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Maille G, Saliba-Serre B, Ferrandez AM, Ruquet M. Objective and perceived oral health status of elderly nursing home residents: a local survey in southern France. Clin Interv Aging 2019; 14:1141-1151. [PMID: 31308640 PMCID: PMC6612966 DOI: 10.2147/cia.s204533] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Accepted: 04/14/2019] [Indexed: 01/13/2023] Open
Abstract
Objective The aim of this study was to compare the perceived oral health of elderly persons and the clinical reality of their oral status. Background Persons aged over 60 have considerable need for oral health care; a need that increases over time. However, this population appears to be unaware of their state of oral health, and this may be a further obstacle to professional management. We thought it useful to examine the objective and the perceived oral health of these patients. Understanding what may influence their perception can help us to improve their management. Methods The data analyzed in this work are the findings of a field survey carried out in elderly nursing home residents. Their objective oral health was evaluated by using two variables: oral profile, determined by clinical examination, and the oral health index determined using the Oral Health Assessment Tool (OHAT). Perceived oral health was evaluated using the various categories and fields of the General Oral Health Assessment Index (GOHAI). Results Our clinical study showed a discrepancy between perceived oral health and the clinical reality: although a significant association can be demonstrated between the OHAT and the GOHAI, there are considerable variations. It also appeared that the number of teeth and total edentation considerably influence perceived oral health and that findings vary according to different situations. Conclusion Numerous factors influence elderly persons' perception of their true oral health. In order to improve our elders' quality of life, the necessary measures must be taken for the follow-up and regular monitoring of their oral health. At the same time, all possible means should be used and awareness should be raised to improve the health behavior and perception of patients and their entourage.
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Affiliation(s)
- Gérald Maille
- UMR 7268, Aix Marseille Univ, CNRS, EFS, ADÉS, Marseille, France.,Faculté d'Odontologie, Assistance Publique Hôpitaux de Marseille, Aix Marseille Univ, Marseille, France
| | | | | | - Michel Ruquet
- UMR 7268, Aix Marseille Univ, CNRS, EFS, ADÉS, Marseille, France.,Faculté d'Odontologie, Assistance Publique Hôpitaux de Marseille, Aix Marseille Univ, Marseille, France
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Kuo HC, Wang RH, Wang JC, Yang YH. Assessing a conceptual model with both oral health and health related quality of life in community-dwelling elders. Arch Gerontol Geriatr 2018; 79:27-31. [PMID: 30081329 DOI: 10.1016/j.archger.2018.07.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 06/01/2018] [Accepted: 07/14/2018] [Indexed: 11/25/2022]
Abstract
PURPOSE The objective of this study was to test a hypothesized conceptual model for both the clinical and non-clinical status of oral health and health related quality of life (OHRQoL & HRQoL) among community-dwelling elders. MATERIALS AND METHODS Study participants (n = 517), who were recruited as part of a Taiwanese elderly community survey, were collected via dental examinations and questionnaires. We collected measures of clinical variables, self-reported symptom status, OHRQoL, nutritional status and HRQoL. The 517 participants were randomly assigned to one of two samples, to provide one training sample for estimation and one testing sample for validation. The path analysis with all observed variables was conducted based on the proposed theoretical model delineating pathways. RESULTS All of the direct pathways hypothesized by the model were significant. Functional status (OHRQoL measured by OHIP-14T) mediated clinical occlusion, and symptom status mediated nutritional status (MNA) and HRQoL (WHOQOL-BREF). The model accounted for 29% of the variance in HRQoL and demonstrated a good fit with the data. CONCLUSIONS This conceptual model suggests that OHRQoL, as an important mediator, links clinical conditions, symptom status, nutritional status, and overall HRQoL. Therefore, when therapeutic efforts are made to improve the outcomes for patients with oral diseases, not only can the OHRQoL be enhanced, but also the HRQoL can be improved as a result.
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Affiliation(s)
- Hsiao-Ching Kuo
- Research Center of Medical Informatics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Taiwan
| | - Ruey-Hsia Wang
- School of Nursing, College of Nursing, Kaohsiung Medical University, Taiwan
| | - Jen-Chyan Wang
- School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Taiwan; Division of Prosthodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Taiwan
| | - Yi-Hsin Yang
- School of Pharmacy, College of Pharmacy, Kaohsiung Medical University, No. 100 Shih-Chuan 1st Rd, Kaohsiung 807, Taiwan; Division of Medical Statistics and Bioinformatics, Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
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Fuentes-López E, Fuente A, Cardemil F, Valdivia G, Albala C. Prevalence and associated factors of hearing aid use among older adults in Chile. Int J Audiol 2017. [PMID: 28639872 DOI: 10.1080/14992027.2017.1337937] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The aim of this study was to determine the prevalence of use of hearing aids by older adults in Chile and the influence of some variables such as education level, income level and geographic area of residence on the prevalence of hearing aids. DESIGN A national cross-sectional survey which was carried out in 2009. STUDY SAMPLE A representative sample of 4766 Chilean older adults aged 60 years and above. RESULTS The percentage of older adults in Chile who self-reported hearing problems and used hearing aids was 8.9%. Such prevalence increased for adults living in urban areas and for those who knew about the new Chilean programme of universal access to health services (AUGE). For older adults who did not know about this programme, significant associations between the use of hearing aids and the variables of age, geographic area of residence, and income level were found. CONCLUSIONS People's knowledge about AUGE programme may positively influence the use of hearing aids, although a direct effect cannot be attributed.
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Affiliation(s)
- Eduardo Fuentes-López
- a Doctorado en Salud Pública, Escuela de Salud Pública , Universidad de Chile , Santiago , Chile.,b Facultad de Medicina, UDA Ciencias de la Salud, Carrera de Fonoaudiología , Pontificia Universidad Católica de Chile , Santiago , Chile
| | - Adrian Fuente
- c École d'Orthophonie et d'Audiologie, Faculté de Médecine , Université de Montréal , Montréal , Canada.,d Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal , Montréal , Canada
| | - Felipe Cardemil
- a Doctorado en Salud Pública, Escuela de Salud Pública , Universidad de Chile , Santiago , Chile.,e Servicio de Otorrinolaringología , Hospital San Juan de Dios - Universidad de Chile , Santiago , Chile.,f Departamento de Otorrinolaringología , Clínica Las Condes , Santiago , Chile
| | - Gonzalo Valdivia
- g Departamento de Salud Pública, Facultad de Medicina , Pontificia Universidad Católica de Chile , Santiago , Chile , and
| | - Cecilia Albala
- h Instituto de Nutrición y Tecnología de los Alimentos , Universidad de Chile , Santiago , Chile
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Dezhdar S, Fereidoonpoor N, Mostaghni E, Jahanpour F, Ravanipour M. Transition from being OK to NOT OK with tooth loss among a selection of older people in Iran: a qualitative study. Gerodontology 2016; 34:215-226. [PMID: 27813196 DOI: 10.1111/ger.12251] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/24/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Several studies have covered oral health and dental decay in old age, but these studies mostly applied standard quantitative tools and did not include consideration of older people's views on oral problems, partial edentulism in particular. OBJECTIVE To explore people's perceptions in terms of the transition from being OK to NOT OK with tooth loss among a selection of older people in Iran. MATERIALS AND METHODS A qualitative content analysis study was chosen for the research by interviewing 15 older people using open-ended questions. Criteria for participation in the study were as follows: fitting the Kennedy class I or class I modification I category, having a minimum of four teeth but not more than 20 and being aged 60 years or more. The recorded interviews were then transcribed, and a coding process was applied based on a qualitative, conventional content analysis. RESULTS The four main themes that emerged were as follows: (i) gradual realisation of the need to deal with the problem; (ii) the search for information on dental health; (iii) the challenge of adaptation; and (iv) tendency towards dental rehabilitation. CONCLUSION The turning point in the transition from being OK to NOT OK seemed to be associated with an edentulous crisis that had occurred from another problem such as stomach ache, distention, or nocturnal dyspnoea due to swallowing food that had not been properly chewed and had an affect on an elderly person's life, physically and mentally. It is important to recognise the concept of healthy eating in relation to edentulism.
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Affiliation(s)
- Shahin Dezhdar
- Student Research Committee, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Najmeh Fereidoonpoor
- Department of Prosthodontics, School of Dentistry, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Ehsan Mostaghni
- Department of Periodontics, School of Dentistry, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Faezeh Jahanpour
- Faculty of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Maryam Ravanipour
- The Persian Gulf Tropical Medicine Research Center, Bushehr University of Medical Sciences, Bushehr, Iran
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Carvalho C, Manso AC, Escoval A, Salvado F, Nunes C. Self-perception of oral health in older adults from an urban population in Lisbon, Portugal. Rev Saude Publica 2016; 50:53. [PMID: 27556967 PMCID: PMC4988800 DOI: 10.1590/s1518-8787.2016050006311] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2015] [Accepted: 07/15/2015] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE To analyze if the self-perception of oral health in the urban context is associated with sociodemographic factors that interfere in the life quality of oral health. METHODS Cross-sectional study with convenience sample of older individuals (65 years old or more) enrolled in the Agrupamento de Centros de Saúde de Lisboa Norte (ACES Lisboa Norte – Health Centers Groupings North Lisbon). The self-perception of oral health and associated life quality was evaluated by the Geriatric Oral Health Assessment Index and the individuals were classified according to sociodemographic characteristics. The internal consistency of the questionnaire was evaluated by Cronbach’s alpha (α). Later, we used binary logistic regression models to characterize the factors associated with the self-perception of oral health, considering the sociodemographic variables and the older adults’ clinical conditions of oral health and establishing the crude and adjusted (to age) odds ratios and their 90% confidence intervals. RESULTS A total of 369 older adults participated in this study, with an average age of 74.2 years (SD = 6.75); 62.9% were female. On average, the index was moderated, with tendency to be high: 32.9 (SD = 3.6; 12-36 interval). The Cronbach’s alpha was high: 0.805. Age, marital status, and the last dental appointment were the factors significantly associated with self-perception of oral health. CONCLUSIONS The study shows that these individuals have a moderate, with tendency to high, self-perception of oral health. The self-perception of oral health assessment allowed us to identify the main associated sociodemographic factors. This instrument can help guiding planning strategies and oral health promotion directed toward a better life quality for this population group.
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Affiliation(s)
- Catarina Carvalho
- Escola Nacional de Saúde Pública. Universidade Nova de Lisboa. Lisboa, Portugal
| | - Ana Cristina Manso
- Instituto Superior de Ciências da Saúde Egas Moniz. Centro de Investigação Interdisciplinar Egas Moniz. Caparica, Portugal
| | - Ana Escoval
- Escola Nacional de Saúde Pública. Universidade Nova de Lisboa. Lisboa, Portugal
| | - Francisco Salvado
- Instituto Superior de Ciências da Saúde Egas Moniz. Centro de Investigação Interdisciplinar Egas Moniz. Caparica, Portugal
| | - Carla Nunes
- Escola Nacional de Saúde Pública. Universidade Nova de Lisboa. Lisboa, Portugal
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Tôrres LHDN, Tellez M, Hilgert JB, Hugo FN, de Sousa MDLR, Ismail AI. Frailty, Frailty Components, and Oral Health: A Systematic Review. J Am Geriatr Soc 2015; 63:2555-2562. [PMID: 26563844 DOI: 10.1111/jgs.13826] [Citation(s) in RCA: 72] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
A systematic review was conducted to assess the relationship between frailty or one of its components and poor oral health. A search strategy was developed to identify articles related to the research question in the PubMed, EMBASE, Cochrane, LILACS, and SciELO databases that were published in English, Spanish, or Brazilian Portuguese from 1991 to July 2013. Thirty-five studies were identified, and 12 met the inclusion criteria, seven of which were cross-sectional and five were cohort studies. Of the 12 articles, five (41.7%) were rated good and seven (58.3%) as fair quality. The published studies applied different oral health and frailty criteria measures. Variations in definitions of outcome measures and study designs limited the ability to draw strong conclusions about the relationship between frailty or prefrailty and poor oral health. None of the studies that were evaluated longitudinally showed whether poor oral health increases the likelihood of developing signs of frailty, although the studies suggest that there may be an association between frailty and oral health. More longitudinal studies are needed to better understand the relationship between frailty and oral health.
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Affiliation(s)
| | - Marisol Tellez
- Department of Pediatric Dentistry and Community Health, Maurice H. Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania
| | - Juliana Balbinot Hilgert
- Department of Preventive and Social Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Fernando Neves Hugo
- Center of Social Dentistry Research, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | | | - Amid Ibrahim Ismail
- Department of Pediatric Dentistry and Community Health, Maurice H. Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania
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León S, Bravo-Cavicchioli D, Giacaman RA, Correa-Beltrán G, Albala C. Validation of the Spanish version of the oral health impact profile to assess an association between quality of life and oral health of elderly Chileans. Gerodontology 2014; 33:97-105. [DOI: 10.1111/ger.12124] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/10/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Soraya León
- Department of Oral Rehabilitation; University of Talca; Talca Chile
- Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES); University of Talca; Talca Chile
| | - Daniel Bravo-Cavicchioli
- Department of Oral Rehabilitation; University of Talca; Talca Chile
- Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES); University of Talca; Talca Chile
| | - Rodrigo A. Giacaman
- Department of Oral Rehabilitation; University of Talca; Talca Chile
- Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES); University of Talca; Talca Chile
| | | | - Cecilia Albala
- Institute of Nutrition and Food Technology; University of Chile; Santiago Chile
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Mariño R, Giacaman RA. Factors related to unmet oral health needs in older adults living in Chile. Arch Gerontol Geriatr 2014; 58:454-9. [PMID: 24556393 DOI: 10.1016/j.archger.2014.01.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2013] [Revised: 12/15/2013] [Accepted: 01/07/2014] [Indexed: 11/18/2022]
Abstract
To assess the oral health status and treatment needs of an ambulant population of older adults, living in the Maule Region, Chile, and provide descriptive information on its distribution by selected socio-demographic characteristics. The source of primary data was the Regional Oral Health Survey. A stratified random sample of 438 older adults, aged 65-74 years, living independently in the community was orally examined, and underwent an oral health interview. The sample was largely a dentate one (74.9%); with a mean DMFT score of 25.7 (s.d. 6.5) and an average number of missing teeth of 22.4 (s.d. 5.8). Dentate participants had 41% of their restorative care needs unmet, and 68.4% needed oral hygiene instruction plus removal of calculus on their teeth. Almost 30.1% required complex periodontal therapy. 21% of those fully edentulous were in need of full dentures. Comparing these findings with existing data on the oral health of older adults in Chile, participants in this study appear to have lower missing teeth scores and less need for complex periodontal treatment. Inequities were apparent in the proportion of unmet restorative and prosthetics needs. Community-based preventive care programs specifically tailored to older adults are needed to address this challenge.
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Affiliation(s)
- Rodrigo Mariño
- Oral Health Cooperative Research Centre, Melbourne Dental School, University of Melbourne, Australia.
| | - Rodrigo A Giacaman
- Cariology Unit, Department of Oral Rehabilitation and Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES), University of Talca, Talca, Chile
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Numoto Y, Mori T, Maeda S, Tomoyasu Y, Higuchi H, Egusa M, Miyawaki T. Low bone mass is a risk factor in periodontal disease-related tooth loss in patients with intellectual disability. Open Dent J 2013; 7:157-61. [PMID: 24358063 PMCID: PMC3866628 DOI: 10.2174/1874210601307010157] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2013] [Revised: 10/26/2013] [Accepted: 10/31/2013] [Indexed: 11/25/2022] Open
Abstract
Teeth are fundamental to maintaining good quality of life, but are often lost prematurely in individuals with intellectual disability. Furthermore, since bone mass decreases in menopausal women, women with intellectual disability have an augmented risk of losing their teeth. However, the relationship between periodontal disease-related tooth loss and bone mass has never been studied specifically in patients with intellectual disability. This study evaluated this relationship in a retrospective cohort study.
Participants were female dental patients aged between 20 and 50 years and with an intellectual disability, who were treated in the Special Needs Dentistry unit of the Okayama University Hospital from January 2009 to March 2010. Logistic regression analysis was used to analyze which factors affect periodontal disease-related tooth loss. Information relating to 12 predictor variables, including age and bone mass level, was derived from medical records.
The 27 subjects had a total of 704 teeth at the time of initial examination, but 20 teeth (2.8%) had been lost owing to periodontal disease by the time bone mass measurements were recorded. Results of the multinomial logistic regression analysis indicated a significant odds ratio for three items: number of missing teeth at the time of initial examination, bone mass, and living environment.
This result suggests that low bone mass is an independent risk factor in tooth loss secondary to periodontal disease in patients with intellectual disability. Dentists should thus take account of this heightened risk of tooth loss when caring for post-menopausal women with intellectual disability.
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Affiliation(s)
- Yoko Numoto
- Department of Dental Anesthesiology and Special Care Dentistry, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Takayuki Mori
- Center of the Special Needs Dentistry Okayama University Hospital, Okayama, Japan
| | - Shigeru Maeda
- Department of Dental Anesthesiology, Okayama University Hospital, Okayama, Japan
| | - Yumiko Tomoyasu
- Department of Dental Anesthesiology and Special Care Dentistry, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Hitoshi Higuchi
- Department of Dental Anesthesiology, Okayama University Hospital, Okayama, Japan
| | - Masahiko Egusa
- Center of the Special Needs Dentistry Okayama University Hospital, Okayama, Japan
| | - Takuya Miyawaki
- Department of Dental Anesthesiology and Special Care Dentistry, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
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Yiengprugsawan V, Somkotra T, Seubsman SA, Sleigh AC. Longitudinal associations between oral health impacts and quality of life among a national cohort of Thai adults. Health Qual Life Outcomes 2013; 11:172. [PMID: 24139328 PMCID: PMC3853227 DOI: 10.1186/1477-7525-11-172] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2013] [Accepted: 10/11/2013] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND There is limited evidence on the association between oral health and general health in middle-income countries. This study analysed data from 60,569 adult students enrolled at Sukhothai Thammathirat Open University and residing throughout Thailand who reported oral health impacts at the 2005 baseline and 2009 health status based on Short Form (SF-8) survey. FINDINGS In 2005, 16.4% had difficulty chewing and/or swallowing, 13.4% reported difficulty speaking and/or discomfort with social interaction, and 10.8% of the cohort reported having pain associated with teeth or dentures. Cohort members reporting one or more oral health impacts in 2005 had lower SF-8 mean scores in 2009. In particular, monotonic dose-response gradients in 2005-2009 associations based on multivariate linear regression were found between an increase in number of oral impacts (0, 1, 2, 3) and a decline in SF-8 Physical Component Summary scores (adjusted means of 50.5, 49.2, 48.6, 47.9) as well as SF-8 Mental Component Summary scores (adjusted means of 43.2, 40.9, 40.3, 38.6) in younger cohort members. Similar dose response gradients were found in older cohort members. CONCLUSIONS We found strong association between oral health impacts and adverse health and quality of life among Thai adults. This finding confirms that oral health is one of the key determinants of population health.
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Affiliation(s)
- Vasoontara Yiengprugsawan
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australia
| | - Tewarit Somkotra
- Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Patumwan, Bangkok, Thailand
| | - Sam-ang Seubsman
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australia
- School of Human Ecology, Sukhothai Thammathirat Open University, Nonthaburi, Thailand
| | - Adrian C Sleigh
- National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australia
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